Sr. Contracts Manager

Glen Allen VA 23060 Suite 100

Job Description

Responsible for the implementation and support of all activities related to developing and maintaining service provider contracts Interacts within all areas of the Magellan organization, including adult/children's services, finance team and other network teams to coordinate facility/organizational network management and administration responsibilities. This position is responsible for monitoring provider contract compliance and for development of performance based contract incentives.

Essential Functions


-Negotiates contracts and amendments with Public Health Care providers, vendors, facilities, organizational and/or large group providers as well as independent practitioners. Works with other departments as needed for timely completion of annual amendment cycles from beginning to end; this position has primary responsibility for managing annual re-contracting efforts across departments;
-Provides oversight to the Prospective Provider and SCA processes. Manages the Primary Care Management Module (PCMM) and Rates Governance process to address provider requests for contract modification. Minimize situations where retro-active contract modifications are required; when retro-active implementation is necessary, utilize streamlined approach to obtain approvals, providing thorough communication to approvers regarding the reason for delay;
-Develops and implements process for monitoring provider contract compliance and performance based contract incentives.
-Identifies and implements process improvements to the contract/amendment process as needed.
-Ensures that contracts are system compatible, loaded correctly, timely and meet legal and business standards. Ensures contracts are audited accurately and timely.
-Develops and maintains professional working relationship with providers. Provides supervision/performance management to team of contract coordinators.
-Work in concert with other teams to respond to changing or emerging system initiatives; actively participate in RFP re-bid processes as needed;

General Job Information

Title

Sr. Contracts Manager

Grade

26

Job Family

Contracts

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

6/5/2018

Date Requisition Created

5/30/2018

Minimum Qualifications

Education

Bachelors (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

A minimum of 5 years of progressively more responsible public sector health care administration experience (contract administration,) with strong preference for managed care contracting experience. Demonstrated advanced experience with public sector financial/contractual analysis and negotiations including risk arrangements. Awareness of and/or experience with trends toward contracting integrated healthcare networks., Knowledge of Regional Behavioral Health System network and providers preferred

Competencies

Language(s)

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

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